| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,794 |
8,412 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,761 |
4,296 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,887 |
2,604 |
$10K |
| 87428 |
|
1,470 |
1,179 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,263 |
1,675 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
661 |
351 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
449 |
324 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
722 |
327 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
137 |
$1K |
| 92551 |
|
178 |
120 |
$213.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
111 |
$191.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
129 |
65 |
$191.10 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
172 |
96 |
$150.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
70 |
$144.34 |
| 87807 |
|
17 |
13 |
$77.84 |
| 99173 |
|
195 |
129 |
$48.15 |
| 96127 |
|
34 |
18 |
$9.56 |
| 81002 |
|
265 |
141 |
$7.83 |
| 36415 |
Collection of venous blood by venipuncture |
738 |
412 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
73 |
41 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$0.00 |
| 80305 |
|
78 |
46 |
$0.00 |
| 90461 |
|
20 |
13 |
$0.00 |